DeanCare Gold Shared Value (Cost)

by Dean Health Plan, Inc.

2026 Medicare Advantage plan available in Wisconsin

Plan ID H5264-005-0

Additional coverage:

HearingVisionDental

Medicare Advantage COST 4.5 Overall

Monthly plan premium $118 / mo

Annual deductible $0 / yr

Max out-of-pocket · in-network Not Applicable / yr

4.5 Overall Government Star Rating 2026 · out of 5 stars

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Plan Overview

DeanCare Gold Shared Value (Cost) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Wisconsin and offered by the health insurance company Dean Health Plan, Inc.. This plan's network type is COST, which determines the in-network doctors who accept the plan and whether a referral is needed.

Plan Name DeanCare Gold Shared Value (Cost)

Insurance Carrier Dean Health Plan, Inc.

Plan Type Medicare Advantage Plan Without Prescription Drugs

Network Type COST

Cost Summary

DeanCare Gold Shared Value (Cost) has a monthly premium cost of $118 per month, with an annual deductible of $0 and a maximum out-of-pocket cost sharing of Not Applicable. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $118 / mo

Annual Deductible $0 / yr

Max Out-of-Pocket · in-network Not Applicable / yr

Primary doctor visit $10 copay

Specialist visit $10 copay

ER visit $50 copay

Ambulance $0 copay

Additional Benefits and Coverage

DeanCare Gold Shared Value (Cost) is a Medicare Advantage plan which does not include Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. DeanCare Gold Shared Value (Cost) includes coverage for hearing, vision, dental.

Part D Prescription Drug Coverage No

Dental Yes

Vision Yes

Hearing Yes

Nationwide Coverage No

Other benefits

Fitness benefit Not covered

Over-the-counter drug benefits Not covered

In-home support services Limited coverage

Home & bathroom safety devices Not covered

Meals for short duration Limited coverage

Annual physical exams Limited coverage

Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: $10 copay
Out-of-network: $10 copay

Specialist visit In-network: $10 copay
Out-of-network: $10 copay

Tests, labs & imaging

Diagnostic tests & procedures In-network: $0 copay
Out-of-network: $0 copay

Lab services In-network: $0 copay
Out-of-network: $0 copay

Diagnostic radiology services (like MRI) In-network: $0 copay
Out-of-network: $0 copay

Outpatient x-rays In-network: $0 copay
Out-of-network: $0 copay

Emergency care $50 copay

Urgent care $10 copay

Hospital Services

Inpatient hospital coverage Tier 1
$200 per stay

Outpatient hospital coverage In-network: $0 copay
Out-of-network: $0 copay

Skilled nursing facility

Skilled nursing facility
$0 copay

Preventive services

Preventive services In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance In-network: $0 copay
Out-of-network: $0 copay

Therapy services

Occupational therapy visit In-network: $0 copay
Out-of-network: $0 copay

Physical therapy & speech & language therapy visit In-network: $0 copay
Out-of-network: $0 copay

Mental health services

Outpatient group therapy with a psychiatrist In-network: $0 copay
Out-of-network: $0 copay

Outpatient individual therapy with a psychiatrist In-network: $0 copay
Out-of-network: $0 copay

Outpatient group therapy visit In-network: $0 copay
Out-of-network: $0 copay

Outpatient individual therapy visit In-network: $0 copay
Out-of-network: $0 copay

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Prosthetics (like braces, artificial limbs) In-network: $0 copay
Out-of-network: $0 copay

Diabetes supplies In-network: $0 copay
Out-of-network: $0 copay

Medicare star rating

Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2026, DeanCare Gold Shared Value (Cost) earned an overall rating of 4.5 stars — better than Wisconsin's state average of 4.0 stars.

Rating category This plan State average

Overall star rating ★ 4.5 4.0

Health plan quality

Summary rating of health plan quality ★ 4.5 4.0

Staying healthy: screenings, tests & vaccines ★ 4.0 3.8

Managing chronic (long-term) conditions ★ 4.0 3.3

Member experience with health plan ★ 5.0 4.1

Member complaints & changes in performance ★ 4.0 4.3

Health plan customer service ★ 4.0 3.9

Extra Benefits

Hearing

Hearing exam In-network: $0 copay
Out-of-network: $0 copay

Fitting/evaluation In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - prescription In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - over the counter In-network: $0 copay
Out-of-network: $0 copay

Preventive dental

Oral exam In-network: $0 copay
Out-of-network: $0 copay

Cleaning In-network: $0 copay
Out-of-network: $0 copay

Fluoride treatment In-network: $0 copay
Out-of-network: $0 copay

Dental x-rays In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Endodontics In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Periodontics In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Prosthodontics, removable In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Prosthodontics, fixed In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Maxillofacial prosthetics Not covered

Implant services In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Oral and maxillofacial surgery In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Orthodontics Not covered

Adjunctive general services In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Vision

Routine eye exam In-network: $0 copay
Out-of-network: $0 copay

Contact lenses In-network: $0 copay
Out-of-network: $0 copay

Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay

Eyeglass frames (only) In-network: $0 copay
Out-of-network: $0 copay

Eyeglass lenses (only) In-network: $0 copay
Out-of-network: $0 copay

Upgrades In-network: $0 copay
Out-of-network: $0 copay

Plan documents & tools

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